Aventura at PembrookeCMS ratings, inspections and fines
- Address
- 1130 West Chester Pike, West Chester, PA 19380
- CCN
- 395166
- Ownership type
- For-profit, corporation
- Certified beds
- 180
- Residents per day
- 136
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Aventura at Pembrooke an overall rating of 1 of 5 stars. The last standard survey was on 22 Aug 2025. The latest survey cycle has 18 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 1 fine of $55,416 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Chester County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 20 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 22 Aug 2025 | 18 | 8 |
| Cycle 2 | 25 Jul 2024 | 4 | 8 |
| Cycle 3 | No date | 9 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 22 Apr 2026 |
| 28 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Jan 2026 |
| 28 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint investigation | 21 Jan 2026 |
| 28 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 21 Jan 2026 |
| 28 Dec 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 21 Jan 2026 |
| 28 Dec 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 21 Jan 2026 |
| 28 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Jan 2026 |
| 3 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Nov 2025 |
| 3 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 18 Nov 2025 |
| 3 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Nov 2025 |
| 3 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 Nov 2025 |
| 22 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Sep 2025 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 16 Aug 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 12 Jul 2024 |
| 21 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Apr 2024 |
| 8 Sep 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 Nov 2023 |
| 8 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 5 Nov 2023 |
| 8 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 5 Nov 2023 |
| 8 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 5 Nov 2023 |
| 8 Sep 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 5 Nov 2023 |
| 8 Sep 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 5 Nov 2023 |
| 3 Aug 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint investigation | 28 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 28 Dec 2025 | Fine | $55,416 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.39 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.41 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 1.02 | 0.91 | |
| Nurse aides | 1.96 | 2.19 | |
| All nurse staff, weekends | 3.06 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.3% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Aventura at Pembrooke LLC
- Chain
- Aventura Health Group (11 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| CPP Senior Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Dec 2018 |
The site shows organisations only. It does not show the names of persons.
Other homes in Chester County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Barclay Friends | West Chester | 4 of 5 | 1 | $0 | 13 Jun 2025 | |
| Park Lane Post Acute LLC | West Chester | 5 of 5 | 5 | $0 | 7 May 2026 | |
| West Chester Rehabilitation and Healthcare Center | West Chester | 2 of 5 | 9 | $40,019 | 3 Oct 2024 | |
| Green Meadows Nursing & Rehabilitation Center | Malvern | 4 of 5 | 7 | $0 | 11 Dec 2025 | |
| Exton Post Acute | Exton | 3 of 5 | 13 | $145,924 | 9 Apr 2026 | |
| Pocopson Home | West Chester | 5 of 5 | 0 | $16,036 | 26 Mar 2026 | |
| Crosslands | Kennett Square | 5 of 5 | 2 | $12,735 | 20 Feb 2026 | |
| Wayne Center | Wayne | 4 of 5 | 2 | $8,824 | 26 Jun 2026 | |
| St Martha Center for Rehabilitation & Healthcare | Downingtown | 5 of 5 | 3 | $0 | 8 Jan 2026 | |
| Phoenix Center for Rehabilitation and Nursing,The | Phoenixville | 2 of 5 | 8 | $94,695 | 1 Aug 2025 | |
| Kendal at Longwood | Kennett Square | 5 of 5 | 0 | $0 | 5 Sep 2025 | |
| Inn at Freedom Village,The | West Brandywine | 5 of 5 | 2 | $0 | 13 Sep 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Aventura at Pembrooke (CCN 395166). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/aventura-at-pembrooke-west-chester-pa-395166/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Aventura at Pembrooke last inspected?
- The latest inspection with a citation in the CMS record was on 26 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 25 Jul 2024.
- Who operates Aventura at Pembrooke?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Aventura Health Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Aventura at Pembrooke a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.